Active NPI
Anthony Terracina, M.D.
- Specialist
- Newport News, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101236493
- Practice address
- 12720 McManus Blvd
Suite 305
Newport News, VA 23602-4414 - Phone
- (757) 947-3170
- Fax
- (757) 947-3180
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101236493 | VA | Primary |
Addresses
Primary practice location
12720 McManus Blvd
Suite 305
Newport News, VA 23602-4414
Mailing address
12720 McManus Blvd
Suite 305
Newport News, VA 23602-4414
Phone (757) 947-3170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138438 | Other | VA | ANTHEM |
| 010071372 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Mississippi School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12720 McManus Blvd
Newport News, VA 23602-4414
Phone (757) 947-3170
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 947-3838
Hospital & facility affiliations
- Mary Immaculate Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101236493 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Mary Immaculate Hospital LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Mary Immaculate Hospital LLC | Current | Accepting new patients | |
| Weight Loss Surgery Center | Specialist | Past | Accepting new patients |
Locations
12720 McManus Blvd
Ste 308
Newport News, VA 23602
Phone (757) 947-3170
12720 McManus Blvd
Ste 305
Newport News, VA 23602
Phone (757) 947-3170
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
7007 Harbour View Blvd
Ste 108
Suffolk, VA 23435
Phone (757) 215-2784
Interoperability endpoints
- aterracina1156323@direct.bsmhealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
-
- Durable Medical Equipment & Medical Supplies
- Franklin, VA
- NPI 1205451028
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1538535463
-
- Nurse Practitioner
- Newport News, VA
- NPI 1568612265
-
- Specialist
- Newport News, VA
- NPI 1245394394
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1427064310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1144384199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12720 MCMANUS BLVD",
"address_2": "SUITE 305",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236024414",
"telephone_number": "757-947-3170",
"fax_number": "757-947-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12720 MCMANUS BLVD",
"address_2": "SUITE 305",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236024414",
"telephone_number": "757-947-3170",
"fax_number": "757-947-3180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRACINA",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101236493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "138438",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010071372",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.